Active NPIOrganization

Integrated Dermatology Of Enfield, LLC

Dermatology in Simsbury, Connecticut

NPI Number1134544661
Practice location
714 Hopmeadow St Ste 5, Simsbury, CT 06070-2234
Fax
860-651-1404
Last updated
June 11, 2025

Integrated Dermatology Of Enfield, LLC is a healthcare organization based in Simsbury, CT. Integrated Dermatology Of Enfield, LLC practices in Simsbury, CT. The NPI Number for Integrated Dermatology Of Enfield, LLC is 1134544661. The current practice location address for Integrated Dermatology Of Enfield, LLC is 714 Hopmeadow St Ste 5, Simsbury, CT 06070-2234 and can be reached out via phone at 860-741-2225 and via fax at 860-651-1404.

Provider Profile Details

NPI Number
1134544661
Provider Name
Integrated Dermatology Of Enfield, LLC
Provider Entity Type
Organization
Address
714 Hopmeadow St Ste 5, Simsbury, CT 06070-2234
Phone Number
860-741-2225
Fax Number
860-651-1404
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Jeffrey D Queen · Manager · 561-314-2000
Provider Enumeration Date
February 20, 2014
Last Update Date
June 11, 2025
Certification Date
June 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
714 Hopmeadow St Ste 5
Simsbury, CT 06070-2234
Zip
06070-2234
Phone Number
860-741-2225
Fax Number
860-651-1404
Simsbury, CT 06070Get directions →

Provider Business Mailing Address Details

Address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
City
Boca Raton
State
FL
Zip
33431-4450
Phone Number
561-314-2000
Fax Number
860-651-1404

License Information

Taxonomy (1)
Specialist · 174400000X
Taxonomy (2)
Physician Assistant · 363A00000X
Taxonomy (3)
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Integrated Dermatology Of Enfield, LLC?

The NPI number of Integrated Dermatology Of Enfield, LLC is 1134544661. It was assigned on February 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Integrated Dermatology Of Enfield, LLC?

Integrated Dermatology Of Enfield, LLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Integrated Dermatology Of Enfield, LLC practice?

The practice location is 714 Hopmeadow St Ste 5, Simsbury, CT 06070-2234. The office can be reached at 860-741-2225 (phone) or 860-651-1404 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134544661 directly on the NPPES registry website.

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